Mini-Gastric Bypass

The Mini (Sleeve) Gastric Bypass Surgery
Short, Simple, Effective

Short, Simple, Effective Weight Loss Surgery

Call Dr. Rutledge 702-714-0011 or Email: DrR@clos.net

Call Dr. Peraglie 407-922-3424 or Email: DrP@clos.net

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Do You Have Sleep Apnea?

Please take the time to carefully complete the following Sleep Apnea Questionnaire.
(Note: Use the "Tab" key to move from one field to the next field.  
If you hit the "Enter" or "Return" key the form will be submitted and you must start over.

Last Name:

Have you been told that you have "Sleep Apnea"?
Have you had a "Sleep Study" to test you for sleep apnea?
Has a sleep study show that you have sleep apnea?
Do you use a "CPAP" machine at home?
How many years have you used a CPAP machine?
Is your sleep apnea getting worse?
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Do you have troubles with your breathing at night? 
Have you been told that you have heavy snoring? 
Do you sometimes seem to struggle to breathe at night? 
Do you fall asleep during the day at inappropriate times (such as while driving a car, working, or talking)? 
Have you been told that you stop breathing while you sleep? 
Do your friends and family say that you are often grumpy and irritable? 
Have your noticed increasing forgetfulness
Do you feel weak, listless or like you need more energy?
Do you sweat excessively during the night?
Does your heart pound or beat irregularly during the night?
Do you get morning headaches?
Do you have particular trouble sleeping when you have a cold?
Do you suddenly wake up gasping for breath during the night?
Are you losing your sex drive?
Do you often feel sleepy and struggle to remain alert?
Do you frequently wake with a dry mouth or sore throat?
Do you have difficulty falling asleep?
Do you wake up at night and find you can't get back to sleep?
Do you find that you worry constantly and have trouble relaxing?
Do you wake up earlier in the morning than you would like to?
Do you often feel sad and depressed?
Do you have trouble concentrating at work or school?
Have you fallen asleep while driving?
Do you often feel like you are going around in a daze?
Do you feel like you are hallucinating when you fall asleep?
Do you find that you often feel like you need a nap to "catch up" on your sleep?
Have you fallen asleep in social settings such as the movies or at a party?
Do you have trouble at work because of sleepiness?
Do you have "sleep attacks" during the day no matter how hard you try to stay awake?
Do you wake up at night with an acid, sour or bitter taste in your mouth?
Even though you slept during the night, do you feel sleepy during the day?

 


This notice describes how information about you may be used and disclosed and how you can gain access to this information.  Please review carefully


 Contact Information: -Telephones: *** CLOS West: 702-456-4643; Trish Lanman 702-376-3446, Sandy Brubaker 702-376-3647; Jennifer Brubaker 702-376-9339, Dr. Rutledge 702-215-9550 *** CLOS Florida: Flo Ballengee 863-899-3463 Dr. Cesare Peraglie 407-922-3424


Email Us Anytime for Help: Email: Dr. Rutledge DrR@clos.net, *** CLOS West: Trish Lanman Trish@clos.net, Sandy Brubaker SandyB@clos.net Dr. Rutledge DrR@clos.net *** CLOS Florida: Flo Ballengee flo@clos.net, Dr. Peraglie drp@clos.net


Addresses: Address: *** CLOS West Office: Dr Robert Rutledge / CELOS, 98 E Lake Mead Parkway Suite 302, Henderson NV 89015, Office 702-456-4643, Office fax: 702-456-1173, Contacts: Trish Lanman 702-376-3446 Trish@clos.net, Sandy Brubaker 702-376-3647 SandyB@clos.net, Jennifer Brubaker 702-376-9339 Jen@clos.net, Dr. Rutledge 702-215-9550 Drr@clos.net *** CLOS Florida: 40124 Highway 27, Suite 203, Davenport, FL 33837, Flo Ballengee 863-899-3463, Flo@clos.net, Dr. Peraglie 407-922-3424 drp@clos.net


Warning: Gastric Bypass Surgery is a MAJOR surgical procedure. It can be associated with significant risks and complications, up to and including death. Weight loss surgery is a rapidly developing area of medicine. Bariatric surgery is filled with controversy. It is very important to take a careful and deliberate approach to considering surgery for the treatment of obesity.  

Disclaimer Notice:-Information on this web site is provided for informational purposes only.
-It is imperative that you consult your own physician regarding the applicability of any opinions or recommendations with respect to your symptoms or medical condition.
-Contact with this web site or Dr. Rutledge over the web site does not constitute a doctor patient relationship and for good quality medical care you must obtain advice and consultation form your own local physician.
-This site is intended as a resource for references on the treatment of obesity for health care professionals and educated consumers.
-The authors and editors have used sources believed to be reliable in their efforts to provide information that is complete and generally in accord with the standards accepted at the time of publication.
-Medical knowledge changes rapidly. In view of the possibility of human error or changes in medical science, neither the authors nor the editors nor any other party who has been involved in the preparation or publication of this work warrants that the information contained herein is in every respect accurate or complete, and they are not responsible for any errors or omissions or for the results obtained from the use of such information.
This information is not medical advice or diagnosis, nor is it to be construed as medical advice, medical information, medical diagnosis, or medical prescription for curing, removing, or preventing any disease, or related symptoms. You must seek the direct assistance, advice and evaluation of your own personal physician before acting on any information found herein. These statements have not been evaluated by the Food and Drug Administration.
-Readers are Strongly encouraged to discuss and confirm the information contained herein with your own physician.
 Copyright © 1998 The Center for Laparoscopic Obesity Surgery